Indian Culture Camp 2018
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Registration for IHA STARTALK Hindi Camp - 2018
student first name
student last name
date of birth
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grade in fall 2018
telephone
gender
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Address
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email
Knowledge of Hindi - Speaking *
Select an option
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Knowledge of Hindi - Understanding *
Select an option
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Knowledge of Hindi - Script *
Select an option
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Knowledge of Hindi - Reading *
Select an option
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Health-related information, if any
Did you attend IHA STARTALK HINDI CAMP last year *
yes
no
Mother's First Name *
Mother's Last Name *
Mother's Cell Number *
Mother's Email *
father's First Name *
father's Last Name *
father's Cell Number *
father's Email *
Emergency Contact Name *
I/We acknowledge that I/we have been advised to make sure that my/our child is physically and mentally fit to participate in sports, physical exercises, yoga, meditation, and other activities of IHA Ohio Hindi Summer Camp 2018.
Note: After filling this form,please print the completed Registration Form sent on your email, download and print the Health form and Consent form available at website (http://www.hindi-indianculturecamp.com) and send signed Registration Form, completed Health Form, Consent form to: IHA Ohio Hindi Summer Camp, 203 Cheltenham Lane Munroe Falls, Ohio 44262. The registration fee is non-refundable.